RICHARD GENE BRACKEN - Nursing Home Administrator License in Illinois | # 044001397

RICHARD GENE BRACKEN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001397

License Status

NOT RENEWED

Business

N

First Name

RICHARD GENE

Last Name

BRACKEN

Business Name

RICHARD GENE BRACKEN

Original Issue Date

04/08/1976

Effective Date

12/01/2005

Expiration Date

11/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2008